ILUMINA LIFE CENTER, P.C. (NPI# 1467852996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467852996 |
Entity Type | Organization |
Organization Name | ILUMINA LIFE CENTER, P.C. |
Other Organization Name | REGENERATIVE SPINE AND WELLNESS CENTER |
Practice Address |
211 Granite Run Dr Ste 221 Lancaster PA 17601 |
Mailing Address |
247 York Rd Carlisle PA 17013-3157 |
Practice Telephone | 8144674055 |
Mailing Telephone | 8144674055 |
Mailing Fax Number | 8142544092 |
Enumeration Date | 2014-09-03 |
Last Update Date | 2018-07-05 |
Authorized Official Name | MS. FLORENTINA MAYKO (CEO) |
Authorized Official Telephone | 8144674055 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities | ||
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Regenerative Spine and Wellness Center | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
136 Jaycee Dr, Suite 10, Johnstown, PA 159043650 | 8144674055 | 8142628161 |
507 Tire Hill Rd Ste 100, Johnstown, PA 159057311 | 8144674055 | 8142544092 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295101715 | Ilumina Life Center, P.C. | Pain Medicine | 507 Tire Hill Rd, Suite 100, Johnstown, PA 15905-7311 | 2015-08-19 |
1942686753 | Ilumina Life Center, P.C. | Pain Medicine | 418 N Logan Blvd, Suite B, Burnham, PA 17009-1816 | 2015-08-04 |
Street Address |
211 GRANITE RUN DR STE 221 |
City | LANCASTER |
State | PA |
Zip Code | 17601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992333967 | Hummel Foot and Ankle LLC | Podiatrist | 1525 Old Schoolhouse Road, Suite 1201, Lancaster, PA 17601 | 2020-03-27 |
1487285508 | United Disabilities Services Foundation | Contractor | 2270 Erin Ct, Lancaster, PA 17601 | 2020-01-28 |
1699311522 | Meals On Wheels, Inc | Home Delivered Meals | 1085-b Manheim Pike, Lancaster, PA 17601 | 2019-11-26 |
1245711555 | Molly Cates Casey | Nurse Practitioner | 190 N Pointe Blvd Ste 1, Lancaster, PA 17601 | 2018-08-24 |
1588142293 | Wegmans Food Markets, Inc. | Pharmacy | 2000 Crossings Blvd, Lancaster, PA 17601 | 2018-08-03 |
1942791918 | Linda J Arnold | Registered Nurse | 2645 Valley View Dr, Lancaster, PA 17601 | 2018-05-24 |
1003311598 | Nicole Marie Adams | Social Worker | 255 Butler Avenue, Suite 103, Lancaster, PA 17601 | 2018-03-27 |
1013418912 | Pinnacle Health Medical Services | Clinic/Center | 1160 Manheim Pike Ste 101, Lancaster, PA 17601 | 2018-02-26 |
1962911750 | Keystone Functional Medicine, PC | General Practice | 1689 Crown Ave Ste 5, Lancaster, PA 17601 | 2017-09-25 |
1427573302 | Ellen Hoffman | Massage Therapist | 2108 Harrisburg Pike Ste 315, Lancaster, PA 17601 | 2017-08-11 |
Find all providers in zip 17601 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538263892 | Peter A Hurtubise | Clinic/Center | 1887 Lititz Pike, Suite 6, Lancaster, PA 17601 | 2006-09-08 |
1316584907 | Christopher Timothy Pereida | Clinic/Center | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2019-12-03 |
1639390339 | Tarzana Treatment Centers, Inc. | Clinic/Center | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 | 2007-05-01 |
1205860558 | Frye Chiropractic, Inc | Clinic/Center | 42283 10th St W, Suite 107, Lancaster, CA 93534-7073 | 2006-07-11 |
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1205461845 | Dynamic Injury Solutions, LLC | Clinic/Center | 1000 Easton Rd Ste 290, Wyncote, PA 19095-2926 | 2020-03-04 |
1164077970 | Jc Blair Medical Services Inc. | Clinic/Center | 1225 Warm Springs Ave Fl 3, Huntingdon, PA 16652-2350 | 2019-08-08 |
1902451016 | Jc Blair Medical Services Inc. | Clinic/Center | 820 Bryan St Ste 3, Huntingdon, PA 16652-2409 | 2019-08-06 |
1629638481 | Crossover Health Medical Group | Clinic/Center | 1701 John F Kennedy Blvd Fl 25, Philadelphia, PA 19103-2851 | 2019-06-14 |
1720641491 | Mtc Wellness, LLC | Clinic/Center | 280 Ripka St, Philadelphia, PA 19127-1125 | 2019-04-18 |
1548727621 | Drayer Physical Therapy Institute LLC | Clinic/Center | 165 Glen Dr, Manchester, PA 17345-1336 | 2019-02-26 |
1962970830 | Drayer Physical Therapy Institute LLC | Clinic/Center | 6560 Carlisle Pike Ste 425, Mechanicsburg, PA 17050-8246 | 2018-11-08 |
1598233520 | Drayer Physical Therapy Institute LLC | Clinic/Center | 1606 N Center Ave Ste 170, Somerset, PA 15501-7052 | 2018-11-07 |
1477021921 | Tower Health Urgent Care, LLC | Clinic/Center | 1139 Ben Franklin Pkwy, Douglassville, PA 19518 | 2018-11-02 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.